Archive for the 'Palliative Care' Category

End of life care for infants, children and young people with life limiting conditions: summary of NICE guidance

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Children and young people can have a wide range of life limiting conditions and may sometimes live with such conditions for many years. This guideline recommends that end of life care be managed as a long term process that begins at the time of diagnosis of a life limiting condition and entails planning for the future. Sometimes it may begin before the child’s birth. It is part of the overall care of the child or young person and runs in parallel with other active treatments for the underlying condition itself. Finally, it includes those aspects related to the care of the dying.

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Here’s why we need evidence

evidently-cochrane-logoEveryday nursing requires the appropriate use of evidence and this website  from Evidently Cochrane provides useful insights. The article about pressure ulcers illustrates why evidence is needed for everyday practice.

Evidence can be found from a variety of sources and with busy workloads and winter pressures coming, you may find it is hard to find time to search for reliable evidence.

Don’t worry – we can help you!

Your Library and Knowledge Service has skilled  outreach specialists who can help you, either by running an evidence  search or training you to do it effectively. So get ahead and get in touch with us if you are based at East Cheshire NHS Trust.

Falls prevention – October’s update published

The latest monthly update on Falls prevention has been published.

View the current research at: https://fallspreventionnwpctl.wordpress.com/

 

New dementia books

The Library has recently purchased lots of new books on dementia, which are all available for Library members to borrow. Click here for the list of new titles.

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Overwhelmed by information?

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BMJ Infographics

Highlighted resource:

BMJ INFOGRAPHICS

These are great visual summaries of a variety of conditions, their management and treatments, and visual overviews of article recommendations. They are found attached to a variety of articles and editorials, and some of the key infographics are found on the infographics page. For example, the infographic of the NICE sepsis guidance or a visual guide to recognising past congenital heart surgery in adults.

New eBooks

The Library has recently purchased 13 new eBooks from the ‘Crash Course‘ series:

Visit http://ectlks.weebly.com/dawsonera.html to access all the eBooks from the DawsonEra collection or search our complete eBooks collection.

All the eBooks can be accessed with an NHS Athens username and password.

For more information please get in touch!

ecn-tr.stafflibrary@nhs.net

01625 661362

crashcoursetitlessept16

New books

NewBooksThe Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

New books

NewBooks

The Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

internurse

internurse logo

The library currently has a free trial to the internurse and MAHcomplete e-journal collections.

Internurse is the UK’s largest collection of peer-reviewed nursing content, and home of the British Journal of Nursing. Internurse covers primary and secondary care settings as well as the whole spectrum of specialist nursing practice including cardiology, neuroscience, mental health, palliative care and wound care.

Access the collection with your East Cheshire NHS Athens account: Login to Athens. Select ‘MAG Online Library’ from the list of resources.

Internurse guide

If you would like to find out more or have any questions please phone us on 01625 661362 or send us an email.

Spotlight on……..Wiley Nursing and Medical Journals

Wiley journalsAll trust staff have access to a collection of over 200 online journals covering key medical and nursing titles. Our subscription provides full text access to articles published in these journals, giving access to published research and evidence which can support your workplace practice, CPD, research and educational activities.

The journal titles are linked into our healthcare databases, electronic journal lists and can be accessed from the library web pages when both on and offsite by using your Athens log in.

Please contact the library on 01625 661362 if you have any questions

Caring Together Induction Pack: now available online

Caring Together Eastern CheshireThe new Caring Together Induction Pack is now available online.

The intention is to promote the pack to all new starters with health and social care organisations commissioning or providing services for the people of Eastern Cheshire. Organisations include third sector partners and providers of social housing.

For the avoidance of doubt, the pack is not relevant to employees involved exclusively in commissioning or providing services outside Eastern Cheshire. This pack is to be made available with immediate effect to new recruits, either salaried or voluntary.

At the end of every third month, a member of the Caring Together team will send managers a link to a brief online survey for new recruits to complete. This will enable them to measure awareness of the pack and the extent to which it is achieving its aim of improving understanding of Caring Together. Consultees will have the option to remain anonymous as the purpose of the survey is not to test individuals’ knowledge or pay attention to people who don’t answer all the questions correctly!

While the principal aim of the survey is to ensure that new starters are introduced to Caring Together as soon as practicable, the pack can also be shared with colleagues more widely. Reference copies of the pack are also available in the Staff Library (Top Floor, New Alderley House).

Many thanks to all in anticipation of your support for this important initiative to promote understanding of – and engagement in – our transformation programme.

Did you know you have online access to the Oxford Textbook of Medicine, Oxford Handbooks and Specialist Handbooks?

Oxford handbooks

We have access to titles in all the clinical specialties such as obstetrics, gynaecology, pediatrics, pain management, oncology, palliative care, surgery, critical care and many more!

You can log in to your OpenAthens account to access the Oxford titles available listed in your resources section.

You can also find the list of  titles available by going to the Oxford Medicine website and then logging in with your OpenAthens account.

Have you tried Oxford Medicine Online?

This online book collection contains well known and highly regarded titles from Oxford University Press covering medical specialties, nursing topics, and community work.

Titles includes the Oxford Textbook of Medicine, the Oxford Medical Handbooks and Oxford Specialist Handbooks, all in online formats.

The collection is available to all trust staff and students.

E books provide the convenience of being able to use them wherever you are working, onsite or off site. You can log in online here using your personal East Cheshire NHS Trust Athens account. More details can be found on the library e resources web page

Home care visits should be at least 30 minutes long, NICE says

nice_logoMost home care visits should be at least half an hour long to enable carers to provide the personalised and dignified care that elderly patients need when being supported to stay in their own home, says a guideline on social care services from the National Institute for Health and Care Excellence (NICE).

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Shorter visits would be appropriate only rarely, said the finalised guideline on home care, published on 23 September. This might be when the visit is part of a wider package of support, made by a carer who is known to the patient, or made to complete a specific time limited task, such as checking that a medicine has been taken or that a person is safe and well.

Combination drug shows promise for treating agitation in patients with Alzheimer’s disease

jamaA combination drug treatment can reduce agitation in patients with probable Alzheimer’s disease and is generally well tolerated, preliminary research published in JAMA has shown.

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The phase II double blind randomised clinical trial showed that patients who received the combination dextromethorphan hydrobromide and quinidine sulphate had lower occurrence and severity of agitation than patients who received placebo. This combination is approved in the United States and the European Union for treating pseudobulbar affect, a neurological disorder characterised by uncontrollable episodes of crying.

Initial drug treatment in Parkinson’s disease

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Parkinson’s disease is a progressive neurodegenerative disorder characterised by tremor, rigidity, bradykinesia, and a wide spectrum of non-motor symptoms including sleep disorders, hyposmia, bladder and bowel dysfunction, fatigue, dementia, and other neuropsychiatric symptoms.

Although the disease has no cure, available treatments effectively control motor symptoms and improve quality of life. Several drug classes are licensed for use as monotherapy in early Parkinson’s disease and adjuvant therapy in later disease

Is this a new era for dementia?

A blog article  by Professors Alistair Burns and Martin Rossor:

“The current national and international focus on dementia has been widely welcomed as a vehicle to raise the profile of, and attract attention to, what has been a hitherto relatively neglected area of scientific interest and clinical practice…

…The news a few weeks ago of the putative efficacy of a disease modifying treatment for Alzheimer’s disease has ignited widespread public, professional and political interest and enthusiasm…”

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Peptides that form amyloid plaques in Alzheimer’s may be transmissible, study finds

Amyloid β, the peptide that forms amyloid plaques in the brains of people with Alzheimer’s disease, may be transmissible through medical treatments such as blood products and surgical instruments, a small UK study published in Nature has shown.

Researchers working on iatrogenic Creutzfeldt-Jakob disease (iCJD) unexpectedly found four autopsy cases with moderate to severe deposition of amyloid β in the grey matter of the brain typical of that seen in Alzheimer’s disease. They also found the peptide in the blood vessel walls deposited in a way that was characteristic of cerebral amyloid angiopathy.

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End of life care still requires improvement at nearly half of hospitals, report finds

Almost half of hospitals provide unacceptable care services at the end of life, a summary of data collected from inspections and published in a report by the Department of Health has found.

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In July 2013 an independent review of the Liverpool care pathway by the rabbi and peer Julia Neuberger recommended that use of the pathway, which had been introduced in the 1990s, should be phased out in England because, although it delivered good care when used well, in many cases it was regarded as a tick box exercise

Hospices still outperform hospitals on quality of care at end of life

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Bereaved people in England rate the care provided by hospitals at the end of their relative’s life lower than that provided by hospices, care homes, and services in the community, show the results of a survey published by the Office for National Statistics.

Personal Health Budgets are not all about the money

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In a moving and intensely personal blog, mother Jo Fitzgerald explains how a personal health budget helped build relationships with healthcare professionals that enabled her severely disabled son Mitchell to not only lead a good life, but also experience a good death

Being underweight in middle age is associated with raised dementia risk, large study finds

People who are underweight in middle age are at increased risk of developing dementia, while increasing weight and obesity offer protection against the condition, a large cohort study has found.

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A number of previous studies have looked at the association between weight and dementia, and most have found that the risk of dementia increased among adults who are overweight or obese, although some studies have found the opposite. Most of these studies have been small, which led the present researchers to conduct a much larger analysis of the link.

Terminally ill patients could benefit from stopping statins, study says

Discontinuing treatment with statins in patients with terminal illnesses is safe, could improve quality of life, and could reduce costs, US research published in JAMA Internal Medicine concludes.

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The pragmatic randomized trial looked at 381 patients with a mean age of 74.1 years. Half of the patients had cancer, and all had an estimated life expectancy of between one month and one year. The patients had been taking prescribed statins for three months or more for primary or secondary prevention of cardiovascular disease but had no recent active cardiovascular disease

NHS England: Revised funding approach for palliative care

NHS England has published a revised draft funding approach for NHS_Englandpalliative care featuring a ‘currency’ for ensuring services match patient needs, offer best value and that providers are reimbursed fairly. The revision is informed by feedback received through consultation, events and seminars since publication of the original document in October 2014.


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